Individual provider Active NPI

Guadalupe A Cruz

  • Sonography Radiologic Technologist
  • Miami, FL
National Provider Identifier
1053492652
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
80309 Issued in FL
Practice address
6850 Coral Way
Suite #204
Miami, FL 33155-1758
Phone
(786) 773-2558
Fax
(305) 728-0526
NPI assigned
Oct 18, 2006
Last updated
Dec 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 80309 FL Primary

Addresses

Primary practice location

6850 Coral Way
Suite #204
Miami, FL 33155-1758

Mailing address

390 SE 9TH Ave
Hialeah, FL 33010-5530
Phone (786) 423-4580

Other identifiers 1

IdentifierTypeStateIssuer
80309OtherFLRDMS, AB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
80309FLMDSonography Radiologic Technologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1053492652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 SE 9TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105530",
            "telephone_number": "786-423-4580",
            "fax_number": "305-594-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 CORAL WAY",
            "address_2": "SUITE #204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551758",
            "telephone_number": "786-773-2558",
            "fax_number": "305-728-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "GUADALUPE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "80309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDMS, AB",
            "identifier": "80309",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.